Understanding Lab Tests for Peripheral Neuropathy

Written by Private MD Labs Medical Writing Team • Last Updated: September 8, 2025

Peripheral neuropathy is a condition involving damage to the peripheral nervous system, which can cause pain, weakness, and numbness, typically in the hands and feet. While peripheral neuropathy is primarily diagnosed through clinical examination and nerve function tests, blood testing plays a crucial role in identifying underlying causes and guiding treatment.

Recommended Test

Vitamin B1 (Thiamine) LC/MS/MS

This test measures thiamine (vitamin B1) levels in the blood using advanced LC/MS/MS technology. Thiamine deficiency is a well-established cause of peripheral neuropathy, as this essential vitamin is crucial for proper nerve function. Low thiamine levels can lead to nerve damage throughout the peripheral nervous system, resulting in the characteristic symptoms of pain, weakness, and numbness in the hands and feet. Identifying and correcting thiamine deficiency can help prevent further nerve damage and may improve symptoms.

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Why Blood Testing is Important for Peripheral Neuropathy

There isn't a single blood test to diagnose peripheral neuropathy itself, but lab testing is fundamental for uncovering treatable underlying causes. Many cases of peripheral neuropathy result from nutritional deficiencies, metabolic disorders, or other systemic conditions that can be detected through blood analysis. Identifying these root causes is essential for effective treatment and preventing further nerve damage.

Understanding Your Results

If thiamine deficiency is identified as a contributing factor to peripheral neuropathy, supplementation and dietary modifications may be recommended by your healthcare provider. Early detection and treatment of nutritional deficiencies can significantly impact the progression of neuropathy symptoms and overall nerve health.

Important Considerations

The information here is for educational purposes only and is not a substitute for professional medical advice. Always consult with a healthcare provider for diagnosis and treatment. Additional testing may be recommended to evaluate other potential causes of peripheral neuropathy.

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